NPI 1013734094
La Paz Dermatology PLLC
Practice location
- Address
- 20185 E Ocotillo Rd STE 104, Queen Creek, AZ 85142-7663
- Phone
- (602) 799-0976
- Fax
- (480) 864-4399
- Mailing address
- 20789 S 209th St, Queen Creek, AZ 85142-6532
Authorised official
- Name
- Jennifer Garrick
- Title
- Owner
- Phone
- (602) 799-0976
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1013734094
- Entity type
- Organization
- NPI issued
- 23 Sep 2024
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.